Active NPIIndividual provider

Matthew Bouteiller, PA-C

Physician Assistant in Lebanon, New Hampshire

NPI Number1912098591
Practice location
1 Medical Center Dr, Lebanon, NH 03756-1000
Fax
—
Last updated
January 30, 2026

Matthew Bouteiller is a Physician Assistant based in Lebanon, NH. Matthew Bouteiller practices in Lebanon, NH and has the professional credentials of PA-C. The NPI Number for Matthew Bouteiller is 1912098591 and holds a License No. 3590 (NH). The current practice location address for Matthew Bouteiller is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5000.

Provider Profile Details

NPI Number
1912098591
Provider Name
Matthew Bouteiller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Lebanon, NH 03756-1000
Phone Number
603-650-5000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 27, 2006
Last Update Date
January 30, 2026
Certification Date
January 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-650-5000
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
Po Box 810
Hanover, NH 03755-0810
City
Hanover
State
NH
Zip
03755-0810

License Information

License Number (1)
3590
License State (1)
NH
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
AP2108
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew Bouteiller, PA-C?

The NPI number of Matthew Bouteiller, PA-C is 1912098591. It was assigned on September 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Matthew Bouteiller, PA-C?

Matthew Bouteiller, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 3590.

Where does Matthew Bouteiller, PA-C practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912098591 directly on the NPPES registry website.

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